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NPI Code Detail

MEDICARE: DR. CALIN PERNES M.D.

MEDICARE: DR. CALIN PERNES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20030MS
2207P00000XEmergency Medicine PhysicianME87373FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992748768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CALIN PERNES M.D.
Provider Business Mailing Address
First Line : 3901 S OCEAN DR
Second Line : APT C6A
City : HOLLYWOOD
State : FL
Zip : 33019-3016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 801 S DOUGLAS RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-1355
Country : US
Telephone Number : 954-985-1470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 01/27/2021

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Directions to “ DR. CALIN PERNES M.D.” Practice Location

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